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Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
July, 2005, Vol. 05, Issue 07
Healing Comes From Within
By Bruce Baltz
As massage therapists, our role is to initiate the natural healing process that lives within each one of us. But due to life's circumstances, our bodies are not always our best friends. We are trained at a very young age to hold in emotions and not express our feelings.As we get older most of us don't even recognize the turmoil that we have created inside our own bodies. As adults we have become quite proficient at masking our feelings to the point that it makes our day-to-day lives seem quite healthy; however, if we look at our lives a little closer we will find that a great deal of our imbalances is based on our reactions to fear. Most of us are taught that there will be consequences if we don't act a certain way or live up to certain expectations. So, as you can see, a pattern develops that does not necessarily work to our advantage.
First, we need to acknowledge that we are carrying emotional baggage that can be the root cause of many of our physical imbalances. We then have to look at the systems of the body and how they are affected unconsciously. Studies have shown that the autonomic nervous system holds the key to many of our physical discomforts and problems. Stress and fear are two of the most notable causes that directly correlate to the dysfunction of the autonomic nervous system, better known as dysautonomia.
The chain of communication starting with the hypothalamus communicates with the pituitary gland and then the adrenal gland. These three glands produce many of the hormones that we need to keep the body in balance. But stress and fear tend to overload our systems to the point of losing touch with our overall well-being.
The autonomic nervous system is broken into three parts: sympathetic (flight or fight), parasympathetic (rest and digest) and the enteric brain (digestive brain). Dr. Paul Canali of the Evolutionary Healing Center in South Florida has been a pioneer in the search for therapies that positively affect the autonomic nervous system. According to Dr. Canali, "The autonomic nervous system was always thought to be just that - automatic, motor-like, reflex-like, in neutral. It doesn't matter if a car suddenly cuts you off on the freeway or your boss tells you you're fired, your autonomic system reacts the same way. Muscles contract, blood pressure goes up, digestion stops, your heart races, these are but a few of the many reactions activated in the body's autonomic nervous system survival mode. The good news is that the autonomic nervous system also has a built-in healing network that can override years of painful stress and trauma.
"This part of the system allows for the deepest of human emotion, feeling of safety, love, and hope to be activated. These are what I call autonomic afferents, and they can receive information by specific sensory stimulation to free the nervous system that is stuck in a desperate survival mode. As much as 85 percent of modern disease may be due to the stress of being stuck in autonomic survival mode."
One of the most important steps in the healing process is to have our bodies recognize that there is a problem in the way our autonomic nervous system function. One of the ways to accomplish this is to bring attention to the system, which is already overloaded. Bringing awareness into different areas of our body can do this by touch.
The work can be done through contact to cervical, thoracic, lumbar and sacral regions of the spine and their surrounding tissues. Dr. Canali is the developer of the Enteric Brain Technique; he has also found that working with specific visceral stimulation with cognitive support will affect the enteric brain portion of the autonomic nervous system. The enteric brain is literally our second body brain. It controls and produces dozens of healing chemicals. Ninety-five percent of the body's serotonin, the anti-depression/ecstasy molecule is stored here.
According to Dr. Canali, "The enteric brain is the gateway to the parasympatic system's most influential nerve - the vagus nerve - which, when given the proper support, can send a powerful message to the brain; that is, to slow down, rest, digest and most importantly to heal."
Dr. Canali and I are experimenting with the use of temperature with both hot and cold stonework and a massage table that has a heated water bladder instead of a foam pad* to see what the effects may be on the autonomic nervous system. One of the things the autonomic nervous system controls is body temperature; vasoconstriction or vasodilatation of blood vessels does this. Interestingly, this same reaction is part of the fear or stress response. When the nervous system senses danger, it contracts the surface blood vessels and muscles, and shunts the blood to the deeper more powerful survival muscles. Unfortunately, we can become stuck in this contracted survival mode. The use of hot and cold therapy seems to be one of the ways to turn off this survival reflex. Dr. Canali and I believe in the healing powers of hydrotherapy and are very optimistic on the direct correlation temperature will have on the systems in the body.
Lets look at a common scenario: A client comes in with an acute injury and after a duration of time, it will become chronic. Depending on the response your client has, the treatment, and what the client is willing to do to help him/herself, this chronic stage could turn into adaptation. When we adapt to a condition, our body compensates for imbalances. At this time, we become our worst enemy. Our internal systems start to change; our physical function is affected, and pain is the most likely outcome.
One of the last phases of adaptation is disease, which often results in depression and frustration. It's much easier to work within this framework sooner rather than later. We as human beings have to take responsibility for our internal well-being and recognize our body's natural healing powers. We are looking to open the communications system that exists within us so that it will better serve us in order to maintain optimal health. Over-stimulation on almost every level means that our body no longer has that "rest to digest" stage. The stress from our everyday lives, (jobs, society, relationships) all contribute to this, overloading our systems, which cause imbalance and disease.
In order to be of greater benefit to our clients, our approach must be multidimensional. The physical bodywork is only one piece of the puzzle. When we look at the physical, there is also a nutritional component that needs to be addressed. Without the proper nutrients, our bodies will not be able to produce the essential chemical reactions that are necessary to maintain optimal function. Then there is the emotional/spiritual side. There are as many ways of tapping into this realm as our physical modalities for the body. It is imperative that whatever modality is utilized, the client must also resonate with it. Doctors and therapists must have the proper training and education to back up their protocol of treatments.
As massage therapists, we have the ability to initiate communication with the autonomic nervous system in profound ways. First, we must gain the trust of our clients on an emotional and physical level. Once this is done, our bodies will do the rest.
*The Mermaid table, produced by Golden Ratio.
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